| NPI | 1215176698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MYERS Licensed Clinical Social Worker 847-263-1269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180006053) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2009-02-09 |